Redefining Senior Dining The Newsletter of Golden Cuisine Direct Senior Foods FALL 2010 A Message from Your CareGiver Golden Cuisine Direct™ is a healthy blood pressure, food delivery program that cholesterol level, and hydration. brings complete specially Golden Cuisine Direct™ is Meal time is about more designed FRESH frozen delicious and satisfying and brings than just food on the table. breakfasts, lunches and dinner s to the homes of seniors and their the joy of a good meal to even the It is a ritual, a comfortable family caregivers, for balanced most discriminating taste buds. habit – even a chance to senior-approved diets. celebrate. Isn’t any frozen food Golden Cuisine At Senior Bridge Family we selection from the Direct™ is designed understand that enjoying a supermarket freezer for the needs and great meal is the basis for the same as Golden particular tastes of both physical and emotional Cuisine Direct™? older adults. well-being. Important in our This is why we’ve partnered meal design process is the Just read the labels. For most with Golden Cuisine Direct recognition that taste buds seniors even the highest quality to offer their extensive menu frozen foods have life threatening of ready-to-eat, frozen decline with age and older adults levels of sodium and calories entrées and shelf-stable may take medication that directly from fat. These and other meals specifically for you actually effect taste further. In standard ingredients in frozen and your loved ones. the absence of a carefully designed meal program, it meals are directly related to It’s a full line of specially- becomes difficult to avoid the reoccurring hospital visits, falls crafted, chef designed meals resultant pitfalls of eating the due to lowered blood pressure, that deliver the nutrition, “wrong” food. Comfort food is stroke from high blood pressure, ease of preparation and often craved but counter- diabetes from sugars and weight affordable price that you loss and weight gain from non need, all while nourishing productive to maintaining a thesense of independence and peace-of-mind you deserve. Your Senior Bridge Family Professional Senior Nutrition.Cont. from cover. nutrient-rich eating. Besides Golden Cuisine Direct™ tastes better, Low Cholesterol and we offer nutritional support for seniors that no off the shelf Meals Now company offers. Available What is the nutritional benefit to the older adult of a Golden Cuisine Meal? Golden Cuisine Direct™ is the only meal company that offers meals specifically for older adults, that provide complete nutritional labeling on the package, as required by the FDA and USDA for food sold to consumers. This means that sodium, cholesterol, and other contents that could be contrary to good OLDER-ADULT health are evident on 7 Low Cholesterol the package. Golden Cuisine recipes and bundles are always designed Meals—Including: with Senior health as a priority. This not just bragging….you’ll find it right on the package!! Sweet & Sour Simply put, our meals have no hidden agenda and we keep no secrets. We only have one “secret”….with Golden Cuisine meals, “The Chicken; Secret Ingredient is Respect.” What are the main benefits of Golden Cuisine Direct™ Mesquite Chicken; for the Caregiver? Whether you are a family caregiver or a professional caregiver, meal Salisbury Steak with time can be a hard time. Golden Cuisine Direct™ makes preparation a pleasure. Thanks to state-of-the-art food manufacturing techniques and packaging, your meals are microwavable or conventional oven- ready. The instructions and nutritional information on the package Turkey & Dressing; are clear and in big print. We also fully understand the challenges faced with managing a food program for someone else. We provide free tutorials on how to re-plate food to make it attractive and Macaroni & Beef; conducive to shared meal-time. We offer nutritional guidance and coaching through online webinars and materials for all of our customers. Lemon Pepper Fish; For seniors living independently who cook for themselves, we offer simple microwave tutorials, and discounted access to an oven alert Chicken @ Noodles; service for those who want to oven-heat our meals, but are concerned with using conventional ovens in the home. Steak & Gravy In short we increase the likelihood that seniors will be able to: Age in place All 7 Meals for Stay nutritionally healthy Share stories and recipes with friends and caregivers Enjoy a delicious meal FREE Shipping! Diabetes When Food Matters Most If you have diabetes you know that your diet is a A. I totally eliminated all processed sugar. If I need big factor in your present a sweetener I use Sweet and Low or Equal. I am and future health. But also looking at Stevia. can the right foods actually control diabetes? Q. How do you get natural sugar? To find out, Golden Cuisine interviewed its A. I eat fresh fruits, but not very often. I take a New York representative, a diabetic himself, on multivitamin, calcium and acia berry to get how he controls his condition with the proper vitamins. nutrition. Q. Are there differences in sugars? Q. How did you first suspect that you were diabetic? A. Yes, because there are three types of sugars: “regular” sugar, sugar fiber and sugar alcohol, the A. I was experiencing frequent urination and amount of carbs in food needs to be adjusted by thirst. I checked on WebMD and the first netting out the sugar fiber and the sugar alcohol, twelve entries because they have no referred to diabetes. impact on blood sugar. I went to the doctor That is the meaning of immediately and got net carbs. the positive test Roasted Chicken Salisbury Steak & Gravy results. Chicken Broccoli Alfredo Chili with Beef & Beans Chicken Chow Mein Beef Stew Q. What were your Chicken Teriyaki Macaroni & Beef Q. How did you lose stats when you were Sween & Sour Chicken Cream Chip Beef the weight? first diagnosed? Fiesta Chicken with Rice Cheesy Scrambled Eggs Turkey Alfredo Monterey Jack Omelet A. Actually that was A. My blood sugar Turkey Tetrazzini by going on a very low was 365, normal
*Carbohydrate content must be close to 30g/meal after factoring fiber
carb diet. I think I am being around 100.
into total carbohydrate content. Avg g cho/meal=30.875. a carb addict so I My weight was 300 pounds when I was diagnosed. keep it 15-20 grams per day, although most people lose with 23 grams a day. Q. It’s two years later. Where do you stand today? Q. What else did you do to sustain the good A. My blood sugar is 95-100. I weigh 232 pounds, a numbers and the weight loses? loss of nearly 70 pounds, and still losing. A. I never go hungry. I eat three meals and four Q. I know you take medication, but what is the snacks a day. I also drink a lot of water. most important nutritional steps you took in getting these results? Why Won't Mama Eat? Aging and the Senses Experts agree that appetite can begin to production of gastric juices that provoke appetite malfunction as people age, though the exact response. reasons are not known. Many factors affect your yen for food. People who take various medications may have loss of appetite as a side effect. Ongoing Other Wise Ways health problems like upper-respiratory disease and diabetes can steal your appetite for food in some Toast your way to a better appetite. A glass of red wine with dinner may improve your appetite by aiding digestion. The tannins in the wine help An age-related decline in your ability to taste and the digestive tract to secrete digestive enzymes, smell may also contribute to lowered appetite, says according to Dr. Kruzel. In addition to helping Susan Schiffman, Ph.D., professor of medical jump-start the digestive process, it helps you to psychology at Duke University Medical School in absorb more nutrients, which could be very Durham, North Carolina, because those senses important if you're eating less. trigger the first responses of the gastrointestinal system in preparation for digestion. Try a vinegar cocktail. This alternative health remedy may not sound like the most appetizing They set up the whole appetite response, so if you cocktail, but a teaspoon of apple cider vinegar in don't have taste and smell, you're not mo tivated. a glass of water taken before a meal may help There's a whole complexity of changes going on, acidify your digestive system, which also aids in says Barbara Rolls, Ph.D., professor of nutrition digestion. This is particularly important for older at Pennsylvania State University in University people, Dr. Kruzel says, because their stomach acidity naturally declines. For some people, it's a lack of ability to feed Eat when you're hungry. This requires a little themselves, a lack of social interaction, poverty. detective work on your part, says Karen Chapman- For others, there are genuine changes in the Novakofski, R.D., Ph.D., professor of nutrition mechanisms for making them hungry. with the College of Agriculture and College of Medicine at the University of Illinois in Urbana. If your appetite has waned, there are actual You need to pay attention to when you are even strategies you can adopt to recapture your the smallest bit hungry any time of the day,? And yearning for food. then you really need to capitalize on that. Have your main meal whenever you have a good Here are some strategies that doctors recommend appetite even if it's 10:30 in the morning, she says. for recovering good digestion, appetite, and health. Nibble like a bird all day. Some people may not be Try This First interested enough in food to eat the way we traditionally do three large meals a day. Eating Go ahead, be bitter. Some naturopathic doctors five or six smaller meals throughout the day may suggest eating bitter herbs to stimulate the be more manageable and will give your body the are often very health conscious, says Dr. Rolls. energy you need, says Dr. Chapman-Novakofski. They?ll stuff their refrigerators and pack their pantries with low-fat foods. Add some fiber to your diet. Constipation will cause loss of appetite because you feel full, Adding a piece Take a vitamin. If you fear that your poor appetite is of fruit to each meal is a good way to increase fiber not allowing you to consume all the nutrients you in your diet naturally. need, take a multivitamin every day, says Sherry Briskey, naturopathic physician and staff physician If you add bran or other fibrous cereals, do it at Southwest Naturopathic Medical Center in Tempe, gradually and make sure that you drink enough water Arizona. with it, she advises. Additional bran fiber takes some getting used to?and you might have to deal with gas Thirst for hydration. Sometimes, people older than at first. If you?re getting your fiber with fruits and 60 forget to keep hydrated, because they usually vegetables, you don?t need to drink more fluids. aren?t as active as they used to be and they don?t sweat as much. Be sure that you drink six to eight Ease off the caffeine. Dr. Chapman-Novakofski finds glasses of fluids a day, Dr. Kruzel says. He that retirees who are not very active can spend a lot recommends drinking a lot early in the day so if you of the day drinking coffee or tea. But, unfortunately, have bladder-control problems you won?t have to get the caffeine in those beverages works as an appetite up and go to the bathroom throughout the night. Good suppressant. She recommends switching to choices are filtered water and fresh fruit and decaffeinated coffee or tea at mid-morning. Also, vegetable juices. When replenishing fluids, you want watch the volume you?re drinking (two to three cups to stay away from drinks that are diuretic or promote is a moderate amount), because this could make you urination, such as coffee, beer, alcohol, and caffeine- feel full and eat less. containing sodas. This article appeared in MotherNature.com Keep 30 percent of your diet from fat. Older people Check Mom's Meds Some medications commonly used by older people have appetite loss as a side effect. Talk with your doctor about an alternative medication if your appetite seems to diminish from your drugs,. Some examples are:
♦Prescription hypertension drugs such as spironolactone (Aldactone) and hydrochlorothiazide (HydroDIURIL)
♦ Prescription gold-salt compounds used for rheumatoid arthritis, such as auranofin (Ridaura) and gold-sodium thiomalate
♦Prescription psychiatric drugs such as lithium (Lithonate) or fluoxetine (Prozac)
♦ Estrogens (Premarin)
♦Some prescription heart medications such as nifedipine (Procardia), captopril (Capoten), losartan (Cozaar), propranolol (Inderal), and topical nitroglycerin patches Culinary Life Review Fun With Food and Memories In reminiscence my experiences do not It can be hard to get started or to initiate a life review, Fade, they grow more vivid. or life bio, with an older adult unused to sharing —Marcel Proust details of their past with others. Or if you are on your own, you may feel uninspired. To get started, explore You may already have engaged in a formal life review their “life in food.” with an older loved one, or done one for yourself. Or you may simply have chatted with an older loved Think how often a recipe, a table setting, a way you about their life experiences and memories. If you arranged flowers, or a great restaurant or barbeque have never done either with the intent of gaining sits gently on your mind. What did you eat on your insight and wisdom for yourself, and creating a safe first date, what did you cook at your daughter’s space for them to review their past, you are both in communion, what sold best at the bake sale, what is for a treat. the family’s favorite recipe? These and hundreds of questions come up naturally when you engage in Life review sorts out the story of your life in a most culinary life review. Ask that of yourself and your meaningful way. The purpose may be just sweet older loved one. reminiscence, leaving a legacy of understanding for your family, or the reconciliation and coming to terms If you are handy with a video camera, you can tape with incidents and people in your life Mom or Dad actually making a recipe and cooking. Or get a tape recorder and make an audio tape of Life Review and Life Bio are not exactly the same. the conversation, and include all recipes. Life Bio is used to denote stories and facts about your life, a journal or chronicle of the past. Life Review is more psychological. Icons in the field of gerontology like Pulitzer Prize winner, Dr. Robert Nutritional Information Butler considered life review a natural process for Created for seniors by our board-certified human growth, while developmental psychologist Eric nutritionist, all Golden Cuisine meals meet Erickson saw it as a life stage that comes only with the following senior requirementswhen used in your menu cycle: For caregivers and us elders, it can be a process of 3 oz of protein sharing, a way to spend vigilant hours at a bed side, Significant contributions to 1/3 RDA or a way to make family dialogues productive and of vitamins and minerals dear. But one thing that most often happens when 2 half-cup servings of vegetables you engage in life review with someone you care about Less than 30% of calories from fat is that you both have a deeper understanding of each 1 serving of starch other, and you have FUN! More than 1/3 of RDA protein Average sodium is 600 mg Think Out of the Plate First we eat with our eyes. That is why millions are side dish of your own or happy colored bread and spent on making food look beautiful in ads and on jelly to complete the designer look. For example, Golden Cuisine Macaroni and Cheese, You too can make the food in the adult designed three from our Comfort Meal Series, already has some compartment microwave/conventional oven plate in colorful red peppers in the sides, so springs of parsley which Golden Cuisine meals are packaged look great. or basil makes for added “jewelry. Al you have to do is Think Out of the Plate! Our herbed chicken has lots of greens, so the red Here are ideas for making your meals look wonderful, pepper or carrot slivers could be the perfect garnish. appetizing and anticipated. If you do not want to add any food at all elect a plate Replate for Color color that contrasts with the food and every thing looks wonderful Golden Cuisine is meant be eaten directly out of the plate in which it arrives. But, if you want to have some The Composed Dish fun in less than a minute, the easiest way to get started is to show your decorating talent with a slice of red Restaurants charge more for dishes that are not pepper, a sprig of parsley and or some blueberries or divided into three components, but are “composed” strawberries. Or for fancier service remove each with components stacked on top or near each other. serving of main dish, vegetables and starch and place on a regular plate, and then add one of the above This takes more care and a little knows how. Here colorful garnishes. are the three rules: Golden Cuisine is already a balanced meal, so the 1. Start with a layer of mashed or easy to spread color is for show. Just make sure that if it might be sides. For example, Golden Cuisine has a eaten what you choose will agree with the diner. generous adult appropriate portion of low sodium mashed potatoes, corn or other soft As you get familiar with Golden Cuisine meals ,you starch in many of the meals. Place these on will notice the food colors, macaroni mostly yellow, the plate first. chilli fiesta dinners mostly reds. You can have the appropriate colored garnish handy, or choose a fruit Replate Like a Food Network Star Replating Can Turn Replating.Cont. from previous page. 2. Top the fist layer off with the main dish, chicken or beef, eggs over grits, vegetable patty. 3. Add the final side, in the case of Golden Cuisine usually colorful vegetables that have been flash frozen to keep in the flavor. These can be placed on the plate or you might get creative and “build” them into the dish between the fist layer and the main protein. Add a spring of parsley, sage or basil and you have a gourmet Think Out of the Plate To make food visually appealing, you need not replate at all. You can furnish the table with a single bud vase or colorful napkin. Remember the glasses. One thing that my Mom loved was a cup that we got at a fair where her picture was taken with my daughter and imprinted on the cup. We keep the cup to this day, as a memory, but for Mom it was a fun way to drink a hot beverage and made the whole meal “taste” better. Creativity is king, especially when people are in the hospital or rehab, and there is no way to make the food more appetizing. Pop corn boxes, animal cracker boxes, a favorite knick knack or napkin ring can all anchor the diner to the day they will come back home. Tableware that Creates Independence The three compartment containers that Golden Cuisine uses may be perfect for the diner that has a slight tremor or cognitive difficulty in distinguishing foods. The slightly raised sides of the compartments may help in keeping food in the dish. And there are wonderful products that keep dignity and calm during meal time. For example, large sloping knives sometimes called Alzheimer’s knives Golden Cuisine Meals are prevent danger but allow for self feeding . Forks that are attached to Delivered to Your Door, Fresh their own bracelet and worn around the wrist allow those with tremors Frozen and Ready to Heat & Eat to use cutlery effectively. Compartmentalized place mats allow the cognitively challenges to remember where cutlery is placed, with printed Each Golden Cuisine Meal is outlines on the mat. One of the most significant table wear for the loved Individually Packaged with its own Nutrition Label and one that might spill food is a raised rim in which you can set Mom or Heathing Instructions, All in Dad’s own plate. Large, Easy to Read Print At Golden Cuisine we believe that all people are entitled to “dine”, not just eat. Of course taste comes first. But first we taste with our eyes.
HORMONE THERAPY TRANSSEXUAL PATIENTS Prepared by: Lauren Dimasi (4th year Speech Pathology Student) HORMONE THERAPY IN TRANSEXUALS Contents Page number GENERAL INFORMATION ABOUT HORMONE THERAPY Conjugated Natural Oestrogens (Premarin) ANTIANDROGENS, GNRH AGONISTS AND ORCHIDECTOMY GENDER REASSIGNMENT PROCESS For a person diagnosed as transsexual ('TS') by a p
AMERICAN ACADEMY OF PEDIATRICS POLICY STATEMENT Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children Breastfeeding and the Use of Human Milk ABSTRACT. Considerable advances have occurred in tions are consistent with the goals and objectives of recent years in the scientific knowledge of the benefits of Healthy Peopl